Negative-Energy Perturbations in Circularly Cylindrical Equilibria within the Framework of Maxwell-Drift Kinetic Theory

The conditions for the existence of negative-energy perturbations (which could be nonlinearly unstable and cause anomalous transport) are investigated in the framework of linearized collisionless Maxwell-drift kinetic theory for the case of equilibria of magnetically confined, circularly cylindrical plasmas and vanishing initial field perturbations. For wave vectors with a non-vanishing component parallel to the magnetic field, the plane equilibrium conditions (derived by Throumoulopoulos and Pfirsch [Phys Rev. E {\bf 49}, 3290 (1994)]) are shown to remain valid, while the condition for perpendicular perturbations (which are found to be the most important modes) is modified. Consequently, besides the tokamak equilibrium regime in which the existence of negative-energy perturbations is related to the threshold value of 2/3 of the quantity $\eta_\nu = \frac {\partial \ln T_\nu} {\partial \ln N_\nu}$, a new regime appears, not present in plane equilibria, in which negative-energy perturbations exist for {\em any} value of $\eta_\nu$. For various analytic cold-ion tokamak equilibria a substantial fraction of thermal electrons are associated with negative-energy perturbations (active particles). In particular, for linearly stable equilibria of a paramagnetic plasma with flat electron temperature profile ($\eta_e=0$), the entire velocity space is occupied by active electrons. The part of the velocity space occupied by active particles increases from the center to the plasma edge and is larger in a paramagnetic plasma than in a diamagnetic plasma with the same pressure profile. It is also shown that, unlike in plane equilibria, negative-energy perturbations exist in force-free reversed-field pinch equilibria with a substantial fraction of active particles.Comment: 31 pages, late

Negative-energy perturbations in cylindrical equilibria with a radial electric field

The impact of an equilibrium radial electric field $E$ on negative-energy perturbations (NEPs) (which are potentially dangerous because they can lead to either linear or nonlinear explosive instabilities) in cylindrical equilibria of magnetically confined plasmas is investigated within the framework of Maxwell-drift kinetic theory. It turns out that for wave vectors with a non-vanishing component parallel to the magnetic field the conditions for the existence of NEPs in equilibria with E=0 [G. N. Throumoulopoulos and D. Pfirsch, Phys. Rev. E 53, 2767 (1996)] remain valid, while the condition for the existence of perpendicular NEPs, which are found to be the most important perturbations, is modified. For $|e_i\phi|\approx T_i$ ($\phi$ is the electrostatic potential) and $T_i/T_e > \beta_c\approx P/(B^2/8\pi)$ ($P$ is the total plasma pressure), a case which is of operational interest in magnetic confinement systems, the existence of perpendicular NEPs depends on $e_\nu E$, where $e_\nu$ is the charge of the particle species $\nu$. In this case the electric field can reduce the NEPs activity in the edge region of tokamaklike and stellaratorlike equilibria with identical parabolic pressure profiles, the reduction of electron NEPs being more pronounced than that of ion NEPs.Comment: 30 pages, late

mTORC1-S6K Activation by Endotoxin Contributes to Cytokine Up-Regulation and Early Lethality in Animals

Background: mTORC1 (mammalian target of rapamycin complex 1) activation has been demonstrated in response to endotoxin challenge, but the mechanism and significance are unclear. We investigated the effect of mTORC1 suppression in an animal model of endotoxemia and in a cellular model of endotoxin signaling. Methodology/Principal Findings: Mice were treated with the mTORC1 inhibitor rapamycin or vehicle prior to lethal endotoxin challenge. Mortality and cytokine levels were assessed. Cultured macrophage-like cells were challenged with endotoxin with or without inhibitors of various pathways known to be upstream of mTORC1. Activated pathways, including downstream S6K pathway, were assessed by immunoblots. We found that mTORC1-S6K suppression by rapamycin delayed mortality of mice challenged with lethal endotoxin, and was associated with dampened circulating levels of VEGF, IL-1b, IFN-c and IL-5. Furthermore, in vitro cellular studies demonstrated that LPS (lipopolysaccharide) activation of mTORC1-S6K still occurs in the presence of PI3K-Akt inhibition alone, but can be suppressed by concurrent inhibition of PI3K-Akt and MEK-ERK pathways. Conclusions/Significance: We conclude that cellular activation of mTORC1-S6K contributes to cytokine up-regulation an

Fidelity and moderating factors in complex interventions: a case study of a continuum of care program for frail elderly people in health and social care

<p>Abstract</p> <p>Background</p> <p>Prior studies measuring fidelity of complex interventions have mainly evaluated adherence, and not taken factors affecting adherence into consideration. A need for studies that clarify the concept of fidelity and the function of factors moderating fidelity has been emphasized. The aim of the study was to systematically evaluate implementation fidelity and possible factors influencing fidelity of a complex care continuum intervention for frail elderly people.</p> <p>Methods</p> <p>The intervention was a systematization of the collaboration between a nurse with geriatric expertise situated at the emergency department, the hospital ward staff, and a multi-professional team with a case manager in the municipal care services for older people. Implementation was evaluated between September 2008 and May 2010 with observations of work practices, stakeholder interviews, and document analysis according to a modified version of The Conceptual Framework for Implementation Fidelity.</p> <p>Results</p> <p>A total of 16 of the 18 intervention components were to a great extent delivered as planned, while some new components were added to the model. No changes in the frequency or duration of the 18 components were observed, but the dose of the added components varied over time. Changes in fidelity were caused in a complex, interrelated fashion by all the moderating factors in the framework, i.e., context, staff and participant responsiveness, facilitation, recruitment, and complexity.</p> <p>Discussion</p> <p>The Conceptual Framework for Implementation Fidelity was empirically useful and included comprehensive measures of factors affecting fidelity. Future studies should focus on developing the framework with regard to how to investigate relationships between the moderating factors and fidelity over time.</p> <p>Trial registration</p> <p>ClinicalTrials.gov, <a href="http://www.clinicaltrials.gov/ct2/show/NCT01260493">NCT01260493</a>.</p

For whom is a health-promoting intervention effective? Predictive factors for performing activities of daily living independently

BACKGROUND: Health-promoting interventions tailored to support older persons to remain in their homes, so-called "ageing in place" is important for supporting or improving their health. The health-promoting programme "Elderly Persons in the Risk Zone," (EPRZ) was set up for this purpose and has shown positive results for maintaining independence in activities of daily living for older persons 80 years and above at 1- and 2 year follow-ups. The aim of this study was to explore factors for maintaining independence in the EPRZ health-promoting programme.METHODS: Total of 459 participants in the original trial was included in the analysis; 345 in the programme arm and 114 in the control arm. Thirteen variables, including demographic, health, and programme-specific indicators, were chosen as predictors for independence of activities of daily living. Logistic regression was performed separately for participants in the health promotion programme and in the control arm.RESULTS: In the programme arm, being younger, living alone and self-rated lack of tiredness in performing mobility activities predicted a positive effect of independence in activities of daily living at 1-year follow-up (odds ratio [OR] 1.18, 1.73, 3.02) and 2-year, (OR 1.13, 2.01, 2.02). In the control arm, being less frail was the only predictor at 1-year follow up (OR 1.6 1.09, 2.4); no variables predicted the outcome at the 2-year follow-up.CONCLUSIONS: Older persons living alone - as a risk of ill health - should be especially recognized and offered an opportunity to participate in health-promoting programmes such as "Elderly Persons in the Risk Zone". Further, screening for subjective frailty could form an advantageous guiding principle to target the right population when deciding to whom health-promoting intervention should be offered.TRIAL REGISTRATION: The original clinical trial was registered at ClinicalTrials.gov. Identifier: NCT00877058 , April 6, 2009

Cohort differences in disease and disability in the young-old: findings from the MRC Cognitive Function and Ageing Study (MRC-CFAS)

© 2007 Jagger et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens

Population genomics of the Viking world.

The maritime expansion of Scandinavian populations during the Viking Age (about AD 750-1050) was a far-flung transformation in world history1,2. Here we sequenced the genomes of 442 humans from archaeological sites across Europe and Greenland (to a median depth of about 1×) to understand the global influence of this expansion. We find the Viking period involved gene flow into Scandinavia from the south and east. We observe genetic structure within Scandinavia, with diversity hotspots in the south and restricted gene flow within Scandinavia. We find evidence for a major influx of Danish ancestry into England; a Swedish influx into the Baltic; and Norwegian influx into Ireland, Iceland and Greenland. Additionally, we see substantial ancestry from elsewhere in Europe entering Scandinavia during the Viking Age. Our ancient DNA analysis also revealed that a Viking expedition included close family members. By comparing with modern populations, we find that pigmentation-associated loci have undergone strong population differentiation during the past millennium, and trace positively selected loci-including the lactase-persistence allele of LCT and alleles of ANKA that are associated with the immune response-in detail. We conclude that the Viking diaspora was characterized by substantial transregional engagement: distinct populations influenced the genomic makeup of different regions of Europe, and Scandinavia experienced increased contact with the rest of the continent